The choice of treatment method for recurrent inguinal hernias after laparoscopic hernioplasty

• Published in: Шпитальна хірургія. Журнал імені Л. Я. Ковальчука 2022-10 (3), p.63-67
• Main Authors: Bugridze, Z. D., Parfentiev, R. S., Grubnik, V. V., Grubnyk, Vik. V.
• Format: Article
• Language: English
• ISSN: 1681-2778; 2414-4533
• DOI: 10.11603/2414-4533.2022.3.13394

The aim of the work: to determine the optimal method of reoperation for recurrent inguinal hernias after laparoscopic hernioplasty. Materials and Methods. The research was conducted on the basis of the Regional Clinical Hospital (Odesa). During the period from 2012 to 2021, 36 patients with relapses after previous laparoscopic interventions for inguinal hernias were operated on in our clinic. Among these patients, there were 29 men and 7 women. Bilateral inguinal hernias were observed in 9 patients. Relapse occurred on one side in 6 patients, bilateral recurrence was in 3 patients.  The results were evaluated according to the following criteria: the severity of postoperative pain, the number of postoperative complications, the length of stay in the hospital, recovery time after surgery and the patient's return to work. Results and Discussion. The duration of repeated laparoscopic interventions was (82±10) min and significantly exceeded the duration of open operations (p0.05). The choice of the method of repeated interventions for recurrent inguinal hernias depends on many factors. The main method of repeated interventions should be considered an open operation according to the Lichtenstein method. Under certain conditions, a second laparoscopic hernioplasty can be performed.